FORM I-912 REQUEST FOR FEE WAIVER

COVER LETTER AND EVIDENCE CHECKLIST

Filing Overview

• Applicant: [NAME], A#: [A-NUMBER]
• Forms seeking waiver: [LIST FORMS, e.g., I-485, I-765, N-400] (confirm eligibility)
• Eligibility basis (check all that apply):
• Means-tested benefit recipient
• Household income at/below 150% of FPG
• Financial hardship (with explanation)
• Household size: [NUMBER]; Annual income: $[AMOUNT]

Packet Order (suggested)

1) Cover letter (this document) noting eligibility basis and forms covered.
2) Form I-912 (signed).
3) Evidence of means-tested benefits (if applicable): award letters within past 12 months, ID cards, or agency verification.
4) Income evidence: recent tax transcript/return, W-2/1099, pay stubs (last 1-2 months), unemployment statements.
5) Hardship evidence (if claimed): medical bills, eviction/foreclosure notices, child care costs, disability letters, debts.
6) Household composition evidence: lease, utility bills, school/employment records, birth/marriage certificates as needed.
7) Any interpreter/representative forms (G-28, G-1145).

Cover Letter Body (sample)

text
Date: [DATE]

USCIS [LOCKBOX/ADDRESS]

RE: Form I-912 Fee Waiver Request for [FORMS] - Applicant: [NAME, A#]

Dear Sir/Madam:

Enclosed is Form I-912 requesting a fee waiver for the accompanying forms listed above. Eligibility is based on [means-tested benefit / income below 150% FPG / financial hardship]. Supporting documentation is organized in the order listed.

Sincerely,
[NAME/ATTORNEY]
[ADDRESS]
[PHONE] | [EMAIL]

Practice Notes

• Ensure each form is eligible for fee waiver under current USCIS policy.
• Use tax transcripts where possible; if no filing required, include IRS verification of non-filing.
• Keep evidence current (within 12 months for benefit letters; recent pay stubs).
• Clearly calculate household size and income against the current poverty guidelines.
• Keep copies; track receipts for primary filings submitted with I-912.